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CMS Pub. 100-04, ch. 14, § 50

ASC Procedures for Completing the ASC X12 837 Professional

activein force · 2026-08-25 – presentas-observed

Claim Format or the Form CMS-1500

(Rev.11793; Issued:01-19-23; Effective: 02-21-23; Implementation: 02-21-23)

The Place of Service (POS) code is 24 for procedures performed in an ASC.

Prior to January 1, 2008, Type of Service (TOS) code is “F” (ASC Facility Usage for

Surgical Services) is appropriate when modifier SG appears on an ASC claim. Otherwise

TOS “2” (surgery) for professional services rendered in an ASC is appropriate.

Beginning January 1, 2008, ASCs no longer are required to include the SG modifier on

facility claims in Medicare. The contractors shall assign TOS code “F” to codes billed by

specialty 49 for Place of Service 24.

History

(Rev.11793; Issued:01-19-23; Effective: 02-21-23; Implementation: 02-21-23)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
dc8f7c31c85164ebd7fee298814572b48ec3fa5c49f4298d3af003fb81f5f8f4
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